C
Form Code BENEFICIARY PROFILE AND TRAINING & NEEDS ASSESSMENT
Target Group: MSMEs
Rural Agro-Enterprise Partnership for Inclusive Development (RAPID) Growth Project
Name of Respondent Designation in the Firm Sex Age Contact Details Email Address
⃝ Male ⃝
Female
Stakeholder Category Industry Cluster Registered Business Name Business Address Type of Enterprise/Business Size
⃝ Micro (3M below) ⃝ Small (3M-15M)
⃝ MSME ⃝ Large
Firm
⃝ Coffee ⃝ Cacao ⃝ Coconut ⃝ PFN
⃝ Medium (15.1M-100M) ⃝ Large (Above 100M)
RESPONDENT PROFILE
Availability of Official/Legal/Administrative Document
Form of Enterprise Administration Administration Administration
⃝ Single/Sole ⃝ Partnership ⃝ Issued by: ____________________ Issued by: __________________ Issued by: __________________
Corporation
Expiration Date: _______________ Expiration Date: ____________ Expiration Date: ____________
⃝ Other: _____________________
Product Quality
Certification Name: Certification Name: Certification Name:
Certification Name: ____________
________________ ________________ ________________
Issued by: __________________________ Issued by: __________________________ Issued by: __________________________ Issued by: ________________________
Expiration Date: _____________________ Expiration Date: _____________________ Expiration Date: _____________________ Expiration Date: ___________________
INPUT SUPPLIER
Fertilizer: Organic
Store Capacity (Current Volume, ave./month) Potential Other Info Other Info
Fertilizer: Synthetic
Store Capacity (Current Volume, ave./month) Potential Other Info Other Info
Chemical: Pesticides
Store Capacity (Current Volume, ave./month) Potential Other Info Other Info
Chemicals: Herbicides
Store Capacity (Current Volume, ave./month) Potential Other Info Other Info
Vermicast Compost
Store Capacity (Current Volume, ave./month) Potential Other Info Other Info
Seedlings (Nursery Operator)
Store Capacity (Current Volume, ave./month) Potential Other Info Other Info
Others: ______________________________
Store Capacity (Current Volume, ave./month) Potential Other Info Other Info
POST-HARVEST
Drying
Area/Capacity Utilization (%) Potential for Expansion-demand Other Information
Storage
Area/Capacity Utilization (%) Potential for Expansion-demand Other Information
Hauling
Area/Capacity Utilization (%) Potential for Expansion-demand Other Information
PROCESSING
Semi Processing
Current Capacity/Production Potential for Expansion Other Information
⃝ YES ⃝ NO
Final Product Form
Current Capacity/Production Potential for Expansion Other Information
⃝ YES ⃝ NO
TRADING
Consolidation/ Buy & Sell
Volume / Capacity Potential for Expansion Other Information
⃝ YES ⃝ NO
MARKETING
Packaging and Labelling
Production Capacity/ month Potential for Expansion Other Information
⃝ YES ⃝ NO
FINANCIAL SERVICES
Micro-Financing
Loan Portfolio (specific to RAPID priority crops) Potential for Expansion Other Information
⃝ YES ⃝ NO
Insurance (equipment, crop, other asset)
Loan Portfolio (specific to RAPID priority crops) Potential for Expansion Other Information
⃝ YES ⃝ NO
PRODUCTION & SALES
PRODUCT/SERVICES SALES VOLUME/month UNIT SELLING PRICE UNIT MEASUREMENT
SUPPLY/VALUE CHAIN, MARKETING CHANNEL
RAW MATERIALS VOLUMES/SUPPLY REQUIREMENT QUALITY REQUIREMENT PAYMENT TERMS/ARRANGEMENT
MARKETING / SALES DISTRIBUTION CHANNEL
CLIENTS DISTRIBUTION POINT/LOCATION SALES VOLUME (ave.month) PAYMENT TERMS
⃝ Local Costumer ⃝ Consignment
⃝ Middleman/Distributor ⃝ COD
⃝ Export
⃝ Others, specify________________
⃝ Others: _____________
NUMBER OF WORKERS/LABORERS
No. of in house
Number of Workers (Qty.) Number of IP Group Ave. # of workday/month Ave. Salary/Wage/month
_____ Male _____ Female _____ Male _____ Female
No. of sub-contractor
Number of Workers (Qty.) Number of IP Group Ave. # of workday/month Ave. Salary/Wage/month
_____ Male _____ Female _____ Male _____ Female
No. of piece rate (pakyaw)
Number of Workers (Qty.) Number of IP Group Ave. # of workday/month Ave. Salary/Wage/month
_____ Male _____ Female _____ Male _____ Female
CHALLENGES IN BUSINESS OPERATIONS AND SUPPORT NEEDED
Does your company/firm encounter problems, issues on the following? Additional Information:
Supply Availability ⃝ Yes ⃝ No
Pricing ⃝ Yes ⃝ No
Quality of Raw Material ⃝ Yes ⃝ No
Quality of Final Product ⃝ Yes ⃝ No
Other, please specify: _____________________
Do you have existing commercial partnership ⃝ Yes ⃝ No
with suppliers?
Do you provide support/assistance to your ⃝ Yes ⃝ No
current partners?
Are you satisfied with your current
⃝ Yes ⃝ No
business/production performance?
What problem do you see that limits your growth and development? Support Network/Group
Capability ⃝
Technology/Equipment ⃝
Access to Market ⃝
Communication & Network with key partners ⃝
Political (local government assistance) ⃝
Chamber of Commerce ⃝
Trade Association ⃝
Cooperative ⃝
City organized Group ⃝
Other orgs., specify _______________________________
⃝
Does your membership in the organization helps you in your Yes
livelihood? ⃝
No
Why?
Cacao Coffee Coconut Processed Fruits & Nuts
What do you think the LGU, NGAs and other agencies
should do to improve the local commodity cluster?
Remarks:
Signature of Respondent: Interviewed by:
Date: Date:
